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WHAT YOU WILL NEED: Trilyte ® prescription filled by your pharmacy 4 tablets of Dulcolax ® laxitive 5mg Appointment Info DATE ARRIVAL TIME Endoscopy Center of Marin 1100 S. Eliseo Dr. Suite 3, Greenbrae Expect to be at the center 90 minutes MarinHealth Medical Center Surgery Center 250 Bon Air Road, Greenbrae Expect to be at the center 2 hours Novato Community Hospital 180 Rowland Way, Novato Expect to be at the hospital 3 hours MAY20 50862 Trilyte ® Preparation for Your Upcoming Colonoscopy Diabetes Instructions (if applicable) Oral Medication Instructions Insulin Schedule Blood Thinner Instructions (if applicable) £ Continue blood thinner as prescribed £ HOLD for days Connect with us “MarinHealth ® ” and the MarinHealth ® logo are registered servicemarks of Marin General Hospital and used with permission. MarinHealth Gastroenterology | A UCSF Health Clinic 200 Tamal Plaza, Suite 200 Corte Madera, CA 94925 7120 Redwood Blvd. Novato, CA 94945 1-415-925-6900 | www.mymarinhealth.org/gastroclinic

Appointment Info Trilyte

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WHAT YOU WILL NEED:

• Trilyte® prescription filled by your pharmacy

• 4 tablets of Dulcolax® laxitive 5mg

Appointment Info

DATE

ARRIVAL TIME

Endoscopy Center of Marin1100 S. Eliseo Dr. Suite 3, GreenbraeExpect to be at the center 90 minutes

MarinHealth Medical CenterSurgery Center250 Bon Air Road, GreenbraeExpect to be at the center 2 hours

Novato Community Hospital180 Rowland Way, NovatoExpect to be at the hospital 3 hours

MAY20 50862

Trilyte®

Preparation for Your Upcoming Colonoscopy

Diabetes Instructions (if applicable)

Oral Medication Instructions

Insulin Schedule

Blood Thinner Instructions (if applicable)

£ Continue blood thinner as prescribed

£ HOLD for days Connect with us

“MarinHealth®” and the MarinHealth® logo are registered servicemarks of Marin General Hospital and used with permission.

MarinHealth Gastroenterology | A UCSF Health Clinic 200 Tamal Plaza, Suite 200 Corte Madera, CA 949257120 Redwood Blvd. Novato, CA 94945 1-415-925-6900 | www.mymarinhealth.org/gastroclinic

The Day of Your Colonoscopy• Wake up 5 – 6 hours before your arrival

time to start the second dose. • Drink the remaining 2 liters of Trilyte® and

take 2 Dulcolax® with the last cup of Trilyte®.• You must complete your prep and

discontinue clear liquids 3 hours prior to your arrival time

• You should take medications, as prescribed, with sips of water

• BRING THE FOLLOWING:

1. Photo ID

2. Insurance Card

3. Medication List

4. Allergy List

TIPS:

To improve the taste try using a straw to drink mixture or add ice/refrigerate mixture

If you experience nausea or vomiting, rest for 15 minutes, then try to resume prep

Use baby wipes

Use Vaseline or an ointment for diaper rash around the anus before and/or during prep to minimize irritation from passing bowel movements

7 Days Before Your Colonoscopy• Confirm ride for the day of your procedure• Pick up the prescription at your local

pharmacy• If you take blood thinners,

(Coumadin/warfarin, Plavix/clopidogrel, Pradaxa/dabigatran, Eliquis/apixaban, Xarelto/rivaroxaban) review instructions for holding or continuing prescription (instructions located on back)

Last chance to cancel/reschedule your procedure appointment. Please be aware that the Endoscopy Center of Marin may impose a late cancellation charge of up to $250.

5 Days Before Your Colonoscopy• Review diet instructions and plan

your meals• Create a list of your medications and

supplements to provide the facility. Include prescription name, dose, and directions

• Create a list of your allergies to provide the facility

3 Days Before Your Colonoscopy• STOP eating foods with nuts, seeds, or

whole grains. (fruits and vegetables with seeds, sesame, etc.)

• Avoid corn, beans, quinoa, and popcorn

2 Days Before Your Colonoscopy• Increase your fluid intake, drink a minimum

of 8 glasses of clear fluids (water preferred)• Eat well-balanced meals, but continue

avoiding nuts, seeds, and whole grains

1 Day Before Your Colonoscopy“PREP DAY”• In the morning, fill the Trilyte® container to

the fill line with 4 liters of water, mix and refrigerate

• Have a low residue breakfast BEFORE 10 am (white toast, eggs, yogurt, cream of wheat, smoothies without seeds)

• At 10 am begin a “Clear Liquid Diet.” Clear liquids include water, juice without pulp, soda, black coffee/tea (no milk), electrolyte drinks, Ensure CLEAR, Boost Breeze®, Jell-O, broth, popsicles

• At 6 pm take 2 Dulcolax® tablets and drink one cup of Trilyte® solution every 10 to 15 minutes until you have finished at least half of the container of the solution. Please drink at least 2 liters of the Trilyte® solution and you must do so in no more than 2 hours

• Continue drinking clear liquids until bedtime